. >> this question of preventative care is part of why president obama went to massachusetts and said this obama care is like romney care. one part is it will provide access to preventative care services for a broader group of people and that will bring down health care costs not only for individual households but also for state and the nation. why, then, are republican governors opting out of something that would, in fact, bring down costs? >> one of the things you brought up, you brought up the disparity in terms of coverage among different ethnic groups. there's also a dispar fi in quality of care separate from coverage and that's one of the big challenges with the medicaid program. for example, in new york state, for every dollar a private insurance pays a doctor, medicaid pays 30 cents. that means a lot of people don't get those preventative screenings. when they get diagnosed for cancer on medicaid, you get diagnosed at a more advanced stage for cancer because it wasn't diagnosed earlier because you didn't have access to primary care. >> that's not wrong that medicaid reimburses